Membership Administrator I - III, DOE

Membership Administrator I - III, DOE

Work from home within Oregon, Washington, or Idaho

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For :

Every day, Cambia's dedicated team of Membership Administrators are living our mission to make health care easier and lives better. As a member of the Customer & Member Services Operations team, our Membership Administrator establishes and maintains eligibility, bills premium, reconciles cash and member discrepancies, pursues aged accounts and provides eligibility and billing-related customer service for Individual, Group, Government Programs, Cobra and Flexible Spending business.

Do you thrive as a part of a collaborative, caring team? Then this role may be the perfect fit.

What You Bring to Cambia :

Qualifications :

The Membership Administrator I would have a High School diploma or GED and one-year accounts receivable or customer billing experience or an equivalent combination of education and job-related work experience.

The Membership Administrator II would have a High School diploma or GED and one year experience as Membership Administrator I performing all duties at the Core or higher performance level or an equivalent combination of education and job-related work experience.

The Membership Administrator III would have a High School diploma or GED and 18 months as a Membership Administrator II performing at the Core or higher performance level or an equivalent combination of education and job-related work experience.

Skills and Attributes :

30 wpm with 95% accuracy typing skills.

10-key by touch (8500 keystrokes per hour with 95% accuracy preferred).

PC experience - Word, Excel and Outlook - or comparable software - and ability to learn and use complex systems.

Strong math skills (mathematical calculations and concepts), judgment and other resources to implement effective problem solving.

Ability to coordinate and prioritize work.

Must be diligent and self-motivated.

Must be conscientious and maintain attendance at or above departmental standards.

Ability to exercise judgment, initiative and discretion in confidential, mature and sensitive manner.

Ability to communicate effectively both orally and in writing.

Ability to establish effective working relationships with staff and customers

What You Will Do at Cambia :

Process enrollment applications for individuals and groups, calculating eligibility data, effective dates, and entering member information consistent with contracts.

Review and maintain account changes including effective dates, additions / deletions of members, and verify information through calls to employers, subscribers, or carriers as needed.

Provide customer service through written correspondence and phone inquiries, making necessary corrections while ensuring member confidentiality.

Perform eligibility and reconciliation tasks accurately and timely, including generating and reviewing billings, processing cash, and monitoring aged accounts to meet corporate standards.

Order and audit member cards for accuracy, including corporate logos, lines of business co-pay, PCP, and member card comments.

Apply corporate underwriting guidelines, governmental regulations, and updated policies to ensure compliance with federal, state, BCBSA and accreditation requirements.

Coordinate electronic data transfer with external entities including CMS, employer groups, agents, and vendors; assist with system testing as needed.

Support team operations by providing phone coverage, assisting with clerical tasks, participating in training, and working overtime when required.

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